FFICM Safety and Infection Control 3

Question 1

Which Candida species is inherently resistant to fluconazole and requires echinocandin treatment?

Accepted Answer

Candida krusei

Answer

Candida krusei has intrinsic resistance to fluconazole and should be treated with an echinocandin or amphotericin B.

Question 2

A healthcare worker sustains a needlestick injury from a patient with unknown HIV status. What is the first step?

Accepted Answer

Wash the site thoroughly with soap and water and report to occupational health

Answer

Immediate thorough washing with soap and water followed by prompt reporting to occupational health is the first step after needlestick injury.

Question 3

Which of the following is the most important factor in preventing surgical site infections (SSIs) in ICU patients returning from surgery?

Accepted Answer

Maintaining normothermia and normoglycemia perioperatively

Answer

Normothermia and tight glycemic control are key evidence-based measures that significantly reduce SSI rates.

Question 4

In the context of ICU infection control, what does 'cohorting' mean?

Accepted Answer

Grouping patients with the same infection or colonization together in a designated area

Answer

Cohorting involves grouping colonized or infected patients together and dedicating specific staff to care for them, reducing pathogen spread.

Question 5

What is the main mode of transmission of Clostridioides difficile in the ICU?

Accepted Answer

Fecal-oral route via contact with spore-contaminated surfaces and hands

Answer

C. difficile spreads via spores on contaminated surfaces; transmission is fecal-oral through hand contact with these surfaces.

(FFICM) Final Faculty of Intensive Care Medicine Practice Test